STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ASCENSION LIVING ALEXIAN VILLAGE MILWAUKEE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ASCENSION LIVING ALEXIAN VILLAGE MILWAUKEE (EIN 39-1351584)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201601379349311260
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-16T20:56:49-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391351584EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Alexian Village of Milwaukee IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALEXBusinessNameControlTxt
Phone4143559300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19301 N 76th StreetAddressLine1Txt
CityMilwaukeeCityNm
State AbbreviationWIStateAbbreviationCd
ZIP532231074ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICK HARSHFIELDPersonNm
Person TitleAHSC CFOPersonTitleTxt
Signature2016-05-16SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Gary MohnBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19301 N 76th StreetAddressLine1Txt
CityMilwaukeeCityNm
State AbbreviationWIStateAbbreviationCd
ZIP532231074ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,654,628GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.alexianbrothers.netWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionContinuing Care Retirement Community and Skilled Nursing Facility.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee359TotalEmployeeCnt
Total Volunteers135TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$282,130PYContributionsGrantsAmt
CY Contributions Grants$351,191CYContributionsGrantsAmt
PY Program Service Revenue$24,088,035PYProgramServiceRevenueAmt
CY Program Service Revenue$22,950,795CYProgramServiceRevenueAmt
PY Investment Income$540,288PYInvestmentIncomeAmt
CY Investment Income$582,507CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$770,135CYOtherRevenueAmt
PY Total Revenue$24,910,453PYTotalRevenueAmt
CY Total Revenue$24,654,628CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,606,354PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,607,752CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,306,674PYOtherExpensesAmt
CY Other Expenses$12,926,275CYOtherExpensesAmt
PY Total Expenses$23,913,028PYTotalExpensesAmt
CY Total Expenses$23,534,027CYTotalExpensesAmt
PY Revenues Less Expenses$997,425PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,120,601CYRevenuesLessExpensesAmt
Total Assets BOY$45,452,131TotalAssetsBOYAmt
Total Assets EOY$52,628,443TotalAssetsEOYAmt
Total Liabilities BOY$16,230,353TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,253,195TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,221,778NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,375,248NetAssetsOrFundBalancesEOYAmt
MissionAlexian Village of Milwaukee, Inc. ("AVM") carries out the healing mission of the Catholic Church whose corporate Member is Ascension Health Senior Care. Our Mission calls for us to provide spiritually centered, holistic care which sustains and improves the health of individuals and communities, particularly those most in need. We commit ourselves to identifying and developing effective responses to the health and housing needs of all persons we are called to serve with special attention to those who are poor and vulnerable.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,824,151ExpenseAmt
Revenue$9,778,396RevenueAmt
DescAVM IS A CONTINUING CARE RETIREMENT COMMUNITY, WHICH INCLUDES A SKILLED NURSING FACILITY (SNF). OUR SNF, INSPIRED BY THE HEALING MISSION OF THE ALEXIAN BROTHERS TO THE ELDERLY, PROVIDES A CONTINUUM OF CARE TO RESIDENTS THAT MAXIMIZES DIGNITY AND INDEPENDENCE. ROOTED IN THE CATHOLIC TRADITION OF CARING, THE STAFF IS COMMITTED TO PROMOTING THE WELL-BEING OF THOSE WE SERVE THROUGH THE DELIVERY OF QUALITY CARE. THE SNF HAS 108 BEDS WITH AN AVERAGE OCCUPANCY OF 94. IN FY2014, 12,689 DAYS OF CARE WERE PROVIDED TO MEDICAID RECIPIENTS. 5,802 DAYS WERE PROVIDED TO MEDICARE RECIPIENTS. AS A CHARITABLE ORGANIZATION, IT IS RECOGNIZED THAT NOT ALL PERSONS SERVED POSSESS THE ABILITY TO PURCHASE ESSENTIAL SERVICES. FOR MEDICAID RESIDENTS WE WERE REIMBURSED APPROXIMATELY $320,000 LESS THAN OUR COSTS, AND GAVE BACK TO THE COMMUNITY OVER $258,500 IN OTHER TYPES OF PROGRAMS AND SERVICES, SERVING OVER 23,300 INDIVIDUALS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,212,921ExpenseAmt
Revenue$7,764,728RevenueAmt
DescAVM HAS AN ASSISTED LIVING FACILITY (AL). LICENSED AS A COMMUNITY BASED RESIDENTIAL FACILITY (CBRF) THIS AREA CARES FOR 79 PERSONS EACH DAY. THE RESIDENTS NEED SUPPORT 24 HOURS A DAY RANGING FROM SIMPLE ASSISTANCE TO THOSE WITH SEVERE SIGNS OF DEMENTIA. REGARDLESS OF ONE'S ABILITY TO PAY, AVM CONTINUES TO PROVIDE CARE FOR ITS RESIDENTS. IN 2014 APPROXIMATELY $122,000 OF CHARITY CARE WAS PROVIDED. IN ADDITION, WE WERE REIMBURSED APPROXIMATELY $1,184,900 FOR MEDICAID RESIDENTS LIVING IN THIS AREA. FOR ALL LEVELS OF CARE WE MAINTAIN AN ACTIVE PASTORAL CARE STAFF THAT VISITS RESIDENTS FREQUENTLY, PROVIDES DAILY MASS AND PASTORAL COUNSELING. ALL RELIGIONS ARE SUPPORTED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,638,625ExpenseAmt
Revenue$4,547,448RevenueAmt
DescAVM INCLUDES INDEPENDENT APARTMENTS. AVM HAS 241 INDEPENDENT APARTMENTS AND AVERAGES 268 PERSONS. MOST AVM RESIDENTS HAVE A LIFE CARE CONTRACT WHEREBY AVM AGREES TO PROVIDE SERVICES IN OUR SNF AND AL AREAS AT THEIR APARTMENT RENT PLUS A SMALL ADDITIONAL FEE, FOR THE REST OF THE RESIDENT'S LIFE. RENTAL CONTRACTS ARE ALSO AVAILABLE. ON ALL LEVELS OF CARE, WHERE REIMBURSEMENT IS LESS THAN COST, AVM ABSORBS THE DIFFERENCE IN MEETING ITS MISSION TO THE COMMUNITY. THIS IS REGARDLESS OF RACE, CREED, SEX, ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. RESIDENTS AND EMPLOYEES ARE ACTIVE IN PROVIDING SUPPORT TO OUR LOCAL COMMUNITY THROUGH SUCH THINGS AS TUTORING, AND PROVIDING MEALS TO THE HOMELESS. REGARDLESS OF ONE'S ABILITY TO PAY, AVM CONTINUES TO PROVIDE CARE FOR ITS RESIDENTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$688,305ExpenseAmt
Revenue$860,224RevenueAmt
DescALEXIAN VILLAGE OF MILWAUKEE, INC. OFFERS ADULT DAY CARE AND OTHER PROGRAMS THAT SERVE AN AVERAGE OF 63 CLIENTS PER DAY. THE ADULT DAY CARE IS A SOCIAL MODEL THAT OFFERS SERVICES FOR THE SURROUNDING COMMUNITY. OVER 85% OF THE CLIENTS QUALIFY FOR THE MEDICAID PROGRAM. THE SERVICES OFFERED TO THE COMMUNITY INCLUDE EDUCATIONAL, FITNESS, MEMORY AND WELLNESS PROGRAMS. STRENGTHENED BY COMMUNITY, PRAYER, COMMITMENT TO THE POOR, AND THE LEGACY OF ITS FOUNDERS, THE ALEXIAN BROTHERS WITNESS THE HEALING CHRIST BY A HOLISTIC APPROACH TO PROMOTING HEALTH AND CARE FOR THE SICK, DYING, AGED AND UNWANTED.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$688,305TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$860,224TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$18,364,002TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee359EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Julie TurleyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4143559300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112250 Weber Hill Road Suite 200AddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63127ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GARY MOHN
EX-OFFICIO MEMBER & PRESIDENT/CEO10.0034.00Yes (X)Yes (X)$0$295,169$22,681
DAVID TANCK
CEO50.000Yes (X)$0$0$0Yes (X)
EDWARD M BRADY CPA CVA
DIRECTOR1.000Yes (X)$0$0$0
MARK KONTOS
DIRECTOR1.000Yes (X)$0$0$0
MARK LARSON
DIRECTOR1.000Yes (X)$0$0$0
DR BRUCE ROWE
DIRECTOR1.000Yes (X)$0$0$0
MARK FREY
TRUSTEE (END 4/15)1.0062.00Yes (X)$0$1,938,610$40,093
JOHN BRANNAN
SECRETARY/TREASURER50.000Yes (X)$0$0$0
JOE GIRARDI
SECRETARY/TREASURER1.0068.00Yes (X)$0$139,916$3,997
SUZANNE WHITTY
HEALTH CENTER DIRECTOR50.000Yes (X)$0$0$0
RENEE BIELINSKI
DIRECTOR OF NURSING50.000$124,932$0$4,192Yes (X)
DEBBIE CURRAN
HEALTH CENTER DIRECTOR50.000$152,400$0$16,927Yes (X)
MARY KRENZELOK
MARKETING DIRECTOR50.000$102,678$0$13,957Yes (X)
LINDA PAULSON
MARKETING DIRECTOR50.000$134,847$0$19,319Yes (X)
JIM LEWANDOWSKI
FORMER KEY EMPLOYEE0.000.00$0$136,675$21,163Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$514,857TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,510,370TotReportableCompRltdOrgAmt
Total Other Compensation$142,329TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AEGIS THERAPIES Inc
PO Box 8103Fort SmithAR72902THERAPY SERVICES$1,095,037
HLS- WHEELING LLC
13028 Collection Center DrCHICAGOIL606930130LAUNDRY SERVICES$154,882
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$351,191AllOtherContributionsAmt
Total Contributions$351,191TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Health Care Center-SNF623000$9,720,110$9,720,110
Life Care-Independent623990$7,718,445$7,718,445
CBRF/Assisted Living623000$4,520,342$4,520,342
Adult Day Care623990$855,096$855,096
Other Resident Services623000$136,802$136,802

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$22,950,795TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$582,507TotalRevenueColumnAmt
Exclusion$582,507ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER AL REVENUE623000$45,227$45,227
OTHER IL REVENUE623990$639,821$639,821
OTHER$85,087$85,087

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$770,135OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,654,628TotalRevenueColumnAmt
Related Or Exempt Func Income$23,720,930RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$582,507ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,702,625TotalAmt
Program Services$7,230,688ProgramServicesAmt
Management And General$1,471,937ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$190,000TotalAmt
Management And General$190,000ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,078,000TotalAmt
Program Services$895,670ProgramServicesAmt
Management And General$182,330ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$637,127TotalAmt
Program Services$542,108ProgramServicesAmt
Management And General$95,019ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,124,400TotalAmt
Management And General$2,124,400ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,764TotalAmt
Management And General$7,764ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,865TotalAmt
Management And General$27,865ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,748,000TotalAmt
Program Services$5,587,000ProgramServicesAmt
Management And General$161,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,072,000TotalAmt
Program Services$1,003,000ProgramServicesAmt
Management And General$69,000ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$47,600TotalAmt
Management And General$47,600ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,586,000TotalAmt
Program Services$1,514,000ProgramServicesAmt
Management And General$72,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,000TotalAmt
Program Services$16,000ProgramServicesAmt
Management And General$4,000ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$236,000TotalAmt
Management And General$236,000ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,575,537TotalAmt
Program Services$1,575,537ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$103,709TotalAmt
Management And General$103,709ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
PROVIDER BED TAX$220,000$220,000
Taxes- OTHER$61,000$61,000
OTHER MISC$96,400$96,400

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,534,027TotalAmt
Program Services$18,364,003ProgramServicesAmt
Management And General$5,170,024ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$72,941BOYAmt
EOY$8,326EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,941,507BOYAmt
EOY$3,057,132EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$127,868BOYAmt
EOY$127,868EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$53,311BOYAmt
EOY$49,723EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,232,659LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,158,281LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,521,911BOYAmt
EOY$27,074,378EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$14,706,672BOYAmt
EOY$21,281,016EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,027,921BOYAmt
EOY$1,030,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$45,452,131BOYAmt
EOY$52,628,443EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,602,763BOYAmt
EOY$1,638,808EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,627,590BOYAmt
EOY$21,614,387EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,230,353BOYAmt
EOY$23,253,195EOYAmt

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,031,501BOYAmt
EOY$28,898,977EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$157,562BOYAmt
EOY$443,556EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,715BOYAmt
EOY$32,715EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,221,778BOYAmt
EOY$29,375,248EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,452,131BOYAmt
EOY$52,628,443EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,120,601ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$781,608NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$185,523OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$149,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,868CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$111,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$282,130CurrentTaxYearMinus1YearAmt
Current Tax Year$351,191CurrentTaxYearAmt
Total$940,210TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,728,492CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,812,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,416,287CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,088,035CurrentTaxYearMinus1YearAmt
Current Tax Year$22,950,795CurrentTaxYearAmt
Total$104,996,108TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,878,080CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,858,367CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,527,720CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,370,165CurrentTaxYearMinus1YearAmt
Current Tax Year$23,301,986CurrentTaxYearAmt
Total$105,936,318TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$105,936,318PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$329,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$125,909CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$966,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$540,288CurrentTaxYearMinus1YearAmt
Current Tax Year$582,507CurrentTaxYearAmt
Total$2,544,608TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$329,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$125,909CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$966,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$540,288CurrentTaxYearMinus1YearAmt
Current Tax Year$582,507CurrentTaxYearAmt
Total$2,544,608TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$149,787CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$770,135CurrentTaxYearAmt
Total$919,922TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,356,919CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,984,276CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,494,572CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,910,453CurrentTaxYearMinus1YearAmt
Current Tax Year$24,654,628CurrentTaxYearAmt
Total$109,400,848TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9683PublicSupportCY509Pct
Public Support PY5090.9766PublicSupportPY509Pct
Investment Income CY0.0233InvestmentIncomeCYPct
Investment Income PY0.0203InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part IIIFor the year ended 6/30/12, the organization filed a short period return due to a change of accounting period. Thus, the amounts in column 2011 of Schedule A reflect the tax year 1/1/2012 - 6/30/2012 activity. Prior balances have been rolled backward.
Schedule A, Part III, Line 12 Other IncomeDESCRIPTION - OTHER, COLUMN A - 149787.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 770135.0, COLUMN F - 919922.0;

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$63,732BeginningYearBalanceAmt
End Year Balance$63,732EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$57,863BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$5,869InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$63,732EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$57,053BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$810InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$57,863EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$52,124BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$4,929InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$57,053EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$52,612BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$488InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$52,124EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,530,000OtherCostOrOtherBasisAmt
Book Value$1,530,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,543,729OtherCostOrOtherBasisAmt
Depreciation$3,353,994DepreciationAmt
Book Value$19,189,735BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,158,930OtherCostOrOtherBasisAmt
Depreciation$1,804,287DepreciationAmt
Book Value$6,354,643BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,074,378TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Interest in investments held by Ascension Health Alliance$21,281,016F
Unemployment Insurance Bond
FieldValueIRS element (for citing)
Total Book Value Securities$21,281,016TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Deffered accommodation fees$13,668,898
Reserve for insurance losses$25,133
Security deposits$67,698
Due to Related ABSM$429,948
CDMS DEBT - NOTE PAYABLE$7,331,124
CDMS DEBT - CURRENT NP$91,586
FieldValueIRS element (for citing)
Total Liability$21,614,387TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part V, Line 4 Intended uses of endowment fundsFormAndLineReferenceDesc
ExplanationPermanently restricted for employee scholarships.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY MOHN
EX-OFFICIO MEMBER & PRESIDENT/CEO$0$234,987$0$36,718$0$23,464$0$17,500$0$5,181$0$317,850$0$0
MARK FREY
TRUSTEE (END 4/15)$0$715,750$0$1,205,360$0$17,500$0$19,895$0$20,198$0$1,978,703$0$0
JIM LEWANDOWSKI
FORMER KEY EMPLOYEE$0$0$0$0$0$136,675$0$0$0$21,163$0$157,838$0$0
DEBBIE CURRAN
HEALTH CENTER DIRECTOR$152,400$0$0$0$0$0$12,917$0$4,011$0$169,328$0$0$0
LINDA PAULSON
MARKETING DIRECTOR$134,347$0$500$0$0$0$13,905$0$5,414$0$154,166$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationAlexian Brothers Health System, a related organization of Alexian Village OF MILWAUKEE, INC. through June 30, 2014 , uses the following methods to establish the compensation of the organization's CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Alexian Village OF MILWAUKEE, INC. TRANSFERRED MEMBERSHIP TO ASCENSION HEALTH SENIOR CARE d.b.a. ASCENSION SENIOR LIVING EFFECTIVE 7/1/14. ASCENSION SENIOR LIVING USES THE FOLLOWING METHODS. - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE In determining compensation of the organization's CEO, ED, or top management official, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee of the Board of Governors of FORMER CORPORATE MEMBER, ALEXIAN BROTHERS HEALTH SYSTEM, REVIEWED AND APPROVED THE COMPENSATION. In the review of the compensation, the compensation of the CEO, ED, or top mgmt. official was compared to the compensation of those in positions in other similarly situated organizations that hold the same or a similar title. During the review and approval of the compensation, the documentation of the decision was recorded in the Compensation Committee minutes. The individual was not present when his compensation was decided."
Schedule J, Part I, Line 4a Severance or change-of-control paymentTHE FOLLOWING INDIVIDUAL LISTED IN SCHEDULE J RECEIVED THE REFERENCED AMOUNT OF CHANGE IN CONTROL PAYMENTS IN CALENDAR 2014. THE PAYMENTS UNDER A CHANGE-OF-CONTROL ARRANGEMENT ARE MADE IN CONNECTION WITH RETIREMENT THAT CHANGED THE TERMS OF EMPLOYMENT RESULTING FROM A CHANGE IN CONTROL OF THE ORGANIZATION: JIM LEWANDOWSKI - $136,675
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planASCENSION HEALTH SENIOR CARE offers a Supplemental Employee Retirement Plan to all employees who participate in the executive benefits program and whose compensation exceeds the IRS allowable limit for a qualified pension plan. The purpose of the plan is to restore retirement benefits that are restricted because of compensation limits for the executives. No distributions from the supplemental nonqualified retirement plan were made in the current year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 688,305 including grants of $)(Revenue $ 860,224) ALEXIAN VILLAGE OF MILWAUKEE, INC. OFFERS ADULT DAY CARE AND OTHER PROGRAMS THAT SERVE AN AVERAGE OF 63 CLIENTS PER DAY. THE ADULT DAY CARE IS A SOCIAL MODEL THAT OFFERS SERVICES FOR THE SURROUNDING COMMUNITY. OVER 85% OF THE CLIENTS QUALIFY FOR THE MEDICAID PROGRAM. THE SERVICES OFFERED TO THE COMMUNITY INCLUDE EDUCATIONAL, FITNESS, MEMORY AND WELLNESS PROGRAMS. STRENGTHENED BY COMMUNITY, PRAYER, COMMITMENT TO THE POOR, AND THE LEGACY OF ITS FOUNDERS, THE ALEXIAN BROTHERS WITNESS THE HEALING CHRIST BY A HOLISTIC APPROACH TO PROMOTING HEALTH AND CARE FOR THE SICK, DYING, AGED AND UNWANTED.
Form 990, Part VI, Line 15 COMPENSATIONIN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE OF THE BOARD OF GOVERNORS OF ALEXIAN BROTHERS HEALTH SYSTEM REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL WAS COMPARED TO THE COMPENSATION OF THOSE IN POSITIONS IN OTHER SIMILARLY SITUATED ORGANIZATIONS THAT HOLD THE SAME OR A SIMILAR TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, THE DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMPENSATION COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEE OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO OTHER SIMILARLY SITUATED ORGANIZATIONS' EMPLOYEES THAT HOLD THE SAME OR SIMILAR TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION BY THE COMPENSATION COMMITTEE, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsMANY OF THE PERSONS LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT BY ASCENSION HEALTH SENIOR CARE, D.B.A. ASCENSION SENIOR LIVING, RELATED ENTITIES - BUSINESS RELATIONSHIP. -
Form 990, Part VI, Line 6 Classes of members or stockholdersAlexian Village of Milwaukee, Inc. has a single corporate member, Ascension Health Senior Care.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAscension Health Senior Care has the authority to appoint and remove Directors and Executive Officers of Alexian Village of Milwaukee, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAscension Health Senior Care has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals' evaluation debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyManagement, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board members are provided the Form 990 and management team members are available to answer any Board Member's questions.
Form 990, Part VI, Line 12c Conflict of interest policyThe organization's Conflict of Interest Policy is monitored as part of the system-wide procedures and not at the organizational level. The system-wide procedures are as follows: 1. At time of appointment and annually thereafter, all interested persons, including board and committee members, complete a disclosure statement which addresses actual or potential conflicts of interest. 2. The disclosure statement is done electronically and the return of the completed statement is a condition of continued appointment, employment, or participation with the organization. 3. All actual conflicts are investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization. 4. Periodic reviews are conducted by governance, compliance, and internal audit to ensure the organization is operating consistent with the policy and enforcing the policy's terms.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization will provide any documents open to public inspection upon request.
Form 990, Part IX, Line 11g Other FeesTouchpoint - Environmental Services - Total Expense: 716000, Program Service Expense: 716000, Management and General Expenses: , Fundraising Expenses: ; Touchpoint - Dietary/Food Services - Total Expense: 3321000, Program Service Expense: 3321000, Management and General Expenses: , Fundraising Expenses: ; Laundry/Linen Services - Total Expense: 131000, Program Service Expense: 131000, Management and General Expenses: , Fundraising Expenses: ; Facilities Support - Total Expense: 119000, Program Service Expense: 119000, Management and General Expenses: , Fundraising Expenses: ; Other PROF FEES - Total Expense: 73000, Program Service Expense: , Management and General Expenses: 73000, Fundraising Expenses: ; Other Fees-for-Service - Total Expense: 237000, Program Service Expense: 149000, Management and General Expenses: 88000, Fundraising Expenses: ; ANCILLARIES SVS - Total Expense: 57000, Program Service Expense: 57000, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED THERAPIES - Total Expense: 1094000, Program Service Expense: 1094000, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesOTHER CHANGES IN NA - ASSETS RELEASED/FUNDS USED - 547477; TRANSFERS WITH AFFILLIATES - -733000;
Form 990, Part XII, Line 2b AUDIT DISCLOSURETHE FINANCIAL STATEMENTS OF ALEXIAN VILLAGE OF MILWAUKEE, INC. WERE AUDITED ON A CONSOLIDATED BASIS. THE AUDIT COMMITTEE OF THE BOARD OF GOVERNORS OF ALEXIAN BROTHERS HEALTH SYSTEM HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE THE AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANTS THAT AUDIT THE FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Ascension Health Alliance
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
Ascension Health
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
Ascension Health Senior Care
12250 Weber Hill RoadST LOUISMO63127431227406PARENT COMPANYMO501(c)(3Type IAscension Healthfalse
Alexian Brothers Senior Neighbors
250 East 10th StreetChattanoogaTN37402620646376Supports the provision of community services for senior citizensTN501(c)(37Ascension Health Senior CareYes (true)
Alexian Village of Tennessee
437 Alexian WaySignal MountainTN37377621136742Continuing care retirement communityTN501(c)(39Ascension Health Senior CareYes (true)
Alexian Brothers Lansdowne Village
4624 LansdowneSt LouisMO63116431470362Skilled nursing facilityMO501(c)(39Ascension Health Senior CareYes (true)
Seton Manor Inc
1000 Seton DriveOrwigsburgPA17961232960726Skilled nursing facilityPA501(c)(39Ascension Health Senior CareYes (true)
Alexian Brothers Sherbrooke Village
4005 Ripa AvenueSt LouisMO63125431592502Skilled nursing facilityMO501(c)(39Ascension Health Senior CareYes (true)
Alexian Brothers Community Services
425 CUMBERLAND ST SUITE 110ChattanoogaTN37404364344423PACE- Comprehensive & Coordinated Community Based ServicesTN501(c)(39Ascension Health Senior CareYes (true)
Borgess Nursing Home Inc
3057 Gull RoadKalamazooMI49048382555589Skilled nursing facilityMI501(c)(39Ascension Health Senior CareYes (true)
St Joseph's Ministries Inc
331 S Seton AvenueEmmitsburgMD21727521835288Skilled nursing facilityMD501(c)(39Ascension Health Senior CareYes (true)
Carondelet Long-Term Care Facilities Inc
621 Carondelet DriveKansas CityMO64114742505427Skilled nursing facilityMO501(c)(39Ascension Health Senior CareYes (true)
St Catherine's Laboure Manor
1750 Stockton StreetJacksonvilleFL32204591878316Skilled nursing facilityFL501(c)(39Ascension Health Senior CareYes (true)
Via Christi Healthcare Outreach Program for Elders Inc
2622 W Centra Suite 100WichitaKS67203481236589PACE (SNF)KS501(c)(39Via Christi Villages IncYes (true)
Via Christi Village Ponca City Inc
1601 Academy RoadPonca CityOK74604731153337Retirement CommunityOK501(c)(39Via Christi Villages IncYes (true)
Via Christi Village Hays Inc
2225 Canterbury DriveHaysKS67601202828680Retirement CommunityKS501(c)(39Via Christi Villages IncYes (true)
Via Christi Village Manhattan Inc
2800 Willow Grove RoadManhattanKS66502481078862Retirement CommunityKS501(c)(39Via Christi Villages IncYes (true)
Via Christi Village McLean Inc
777 N McLean BlvdMcLeanKS67203481247723Retirement CommunityKS501(c)(39Via Christi Villages IncYes (true)
Via Christi Village Pittsburg Inc
1502 E Centennial DrivePittsburgKS66762743070971Retirement CommunityKS501(c)(39Via Christi Villages IncYes (true)
Cornerstone Assisted Living Inc
2622 W Centra Suite 100WichitaKS67203481241079Retirement CommunityKS501(c)(39Via Christi Villages IncYes (true)
Via Christi Villages Inc
2622 W Centra Suite 100WichitaKS67203480559086Management CompanyKS501(c)(3Type IAscension Health Senior CareYes (true)
Via Christi Village Georgetown Inc
1655 S GeorgetownGeorgetownKS67218481129325Retirement CommunityKS501(c)(39Via Christi Villages IncYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd